Korean J Obstet Gynecol.  2007 May;50(5):735-740.

The pregnancy outcome of women with congenital uterine anomaly exceeding 20 weeks of gestation

• Ku YH
• Kim KW
• Han JH
• Park HS
• Park CW
• Park JS
• Jun JK
• Yoon BH
• Syn HC

Abstract

OBJECTIVE
To evaluate the pregnancy outcomes of women with congenital uterine anomaly exceeding 20 weeks of gestation.
METHODS
We reviewed retrospectively the birth records of the Seoul National University Hospital between January 1, 1990, and December 31, 2005. We grouped congenital uterine anomalies into five classes, namely bicornuate, didelphys, septate, arcuate, and unicornuate uterus. We compared the pregnancy outcomes with each anomaly.
RESULTS
We found 106 cases of congenital uterine anomaly within a given period of time. There were 63 cases of bicornuate uterus, 19 cases of didelphys, 16 cases of septate uterus, 5 cases of arcuate uterus, and 3 cases of unicornuate uterus. The overall preterm delivery rate was 22.6% (24/106) and cesarean section rate was 74.5% (79/106). A high cesarean section rate was due to metroplasty, abnormal fetal presentation, and uterine anomaly itself. The preterm delivery rate and cesarean section rate of each uterine anomaly did not differ statistically from one another. Five fetuses were stillborn, and one fetus died after birth because of a placenta abruption. The overall take-home baby rate was 94.3% (100/106). There was no maternal mortality and only one case was suffered from postpartum bleeding.
CONCLUSION
Our results suggest that the most of women with uterine anomaly exceeding 20 weeks of gestation may take their baby home.

Keyword

Uterine anomaly; Pregnancy outcome; Preterm labor; Preterm delivery; Cesarean delivery

MeSH Terms

Birth Certificates
Cesarean Section
Female
Fetus
Hemorrhage
Humans
Labor Presentation
Maternal Mortality
Obstetric Labor, Premature
Parturition
Placenta
Postpartum Period
Pregnancy
Pregnancy Outcome*
Pregnancy*
Retrospective Studies
Seoul
Uterus